Doctor Name: | JIM J ROBERTSON |
NPI Number: | 1457552101 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 3276 |
Business Practice Address: | 185 Stafford Ln Delta, CO - 814162229 |
Business Phone Number: | 9708745747 |
Business Fax Number: | 9708748187 |
Mailing Address: | 185 Stafford Ln, Po Box 827 DELTA |
State: | CO |
Postal Code: | 814162229 |
Phone Number: | 9708745747 |
Fax Number: | 9708748187 |
NPI Enumeration Date: | 05/30/2007 |
NPI Last Update Date: | 12/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3276 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |